Healthcare Provider Details

I. General information

NPI: 1881784510
Provider Name (Legal Business Name): NANCY S STIRLING D.O
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2006
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

629 LINCOLN AVE
BEDFORD IN
47421-2142
US

IV. Provider business mailing address

5864 E BLAND RD
BLOOMFIELD IN
47424-4811
US

V. Phone/Fax

Practice location:
  • Phone: 812-675-4470
  • Fax: 812-675-4469
Mailing address:
  • Phone: 812-675-4470
  • Fax: 812-675-4469

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number02000952A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: